Pulmonary complications of infliximab therapy in patients with rheumatoid arthritis.

Ostör, Andrew J K; Chilvers, Edwin R; Somerville, Margaret F; Lim, Anita Y N; Lane, Suzanne E; Crisp, Adrian J; Scott, David G I · J Rheumatol · 2006

case_report · Level V

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Abstract

We describe 5 patients with rheumatoid arthritis (RA) who developed pulmonary complications following infliximab therapy; 4 patients had preexisting usual interstitial pneumonia. As the pathophysiology of the pulmonary insult is unknown, we advise caution in the use of anti-tumor necrosis factor-alpha therapy in patients with RA with underlying lung disease of sufficient severity to withhold methotrexate treatment.

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